Virility and sex are important topics for a man. A small penis can cause significant discomfort in daily life. Some men experience it as a major and painful concern, which prevents them from living harmonious intimate and social relationships.
Penile lengthening (or lengthening of the penis)
Dr Christophe Desouches, plastic surgeon in Marseille, is recognized for his expertise in this procedure, also called cosmetic surgery of the penis, penoplasty or cosmetic phalloplasty.
The penis is attached to the pubis by a ligament called the suspensory ligament of the penis. The purpose of this intervention is to partially disinsert this ligament in order to obtain lengthening at rest. The skin incision made at the base of the penis is made according to a design which, by means of a technical artifice (advanced skin flap), allows skin to be gained in order to increase this elongation.
The enlargement of the penis thus obtained is 2 to 3 cm, at rest only.
Do you need to enlarge your penis?
The usefulness of this intervention is based more on ?perceived size? of the male gender rather than on objective measures. This means that for some patients, even if they are in the statistical average, it may be beneficial to proceed with penis enlargement if it solves their physical and psychological concerns, allowing them to regain better self-confidence.
It therefore concerns any man dissatisfied with the dimensions of his penis, at rest or erect, whether in length or in diameter.
There is no age limit, this operation can be performed by mature men as well as young men who have not yet started their sexual life.
Lengthening phalloplasty intervention
The intervention consists of incising the skin between the penis and the pubis. This incision measures between 4 and 5 centimeters. It provides access to the suspensory ligament and partially detaches it. A cutaneous plasty is carried out during the closure, which makes it possible to obtain a skin gain.
Sutures are made with absorbable stitches. The anesthesia used is generally complete (general anesthesia) or sometimes local associated with intravenous sedation. The procedure is usually performed on an outpatient basis, with same-day discharge.
The operation takes about an hour.
The initial consultation
During this consultation, your surgeon will inquire about the importance of your social discomfort, your sex life, your erections, in order to have a precise knowledge of your case. Sometimes it will be possible that a visit to a specialist colleague such as a urologist or a psychiatrist will be recommended to you, in order to advise you best.
Even minor surgery carries risks. These complications are extremely rare and usually minor in this case. The risk of reaction to anesthesia cannot be ruled out. The complication sometimes found is infection or hematoma.
This penis enlargement surgery leads to scarring. The evolution of these scars is unpredictable and can be exceptionally unfavorable with the occurrence of hypertrophic or retractile scars. These scarring complications can cause discomfort and require further surgery.
It is imperative to stop smoking at least one month before surgery, tobacco being a factor in delayed healing. Taking aspirin is prohibited 10 days before the intervention. Before the surgical act, it is necessary to shower with an antiseptic soap.
On the day of the operation, allow enough time to arrive at the scheduled time, without excessive stress. It is important to provide someone who can accompany you home after your hospitalization and who may help you in the first days following your surgery.
The postoperative course is generally painless. An edema may appear which generally takes between 10 and 15 days to subside. Sexual abstinence is imperative for 3 weeks.
Support briefs and dressings will be essential for 2 weeks to protect the scar from any tension. Healing is generally seen after 2 weeks, when the suture threads are absorbed.
The result stabilizes around the 4th month. It is on this date that the final result can be assessed.
A work stoppage of a few days may be necessary, depending on the physical stress linked to your professional activity, a sedentary activity allowing a faster recovery.
The gain of 2 to 3 cm varies from one patient to another, it depends on his anatomy. It is seen on the flaccid penis, and has a little less impact during erection.
In addition to a lengthening penoplasty, it is possible to associate a penile thickening penoplasty which will enlarge the penis using lipofilling or injection of hyaluronic acid.
These two operations can be grouped together or considered separately.